Altered Pelvic Floor Function and Anorectal Physiology in Women With Uterovaginal Prolapse

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Abstract

Objective

To investigate anorectal and sexual function in women with uterovaginal prolapse necessitating surgical repair.

Design

Observational study using questionnaire evaluation of bowel and sexual function and anorectal physiology.

Participants

Twenty-eight women (median age, 52 years; range, 31 to 68 years) with uterovaginal prolapse and 20 control women (median age, 54 years; range, 35 to 63 years).

Results

Ten (35%) women with prolapse reported difficulty in rectal evacuation; 1 woman (3.5%) reported a defecation frequency of more than two times per week, and 2 (7%) had a sense of urgency to defecate, compared with only 2 (10%) control patients who reported difficulty in evacuating stool. Eighteen (64%) women with uterovaginal prolapse had either complete rectal prolapse (n = 1) or anorectal mucosal prolapse (n = 17), compared with 3 (15%) control patients who had mucosal prolapse of the anorectum.

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